Provider Demographics
NPI:1578170999
Name:ARIZONA CENTER FOR RECOVERY- A NEW DIRECTION
Entity Type:Organization
Organization Name:ARIZONA CENTER FOR RECOVERY- A NEW DIRECTION
Other - Org Name:SEVEN ARROWS RECOVERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF RCM
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DOCKERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-253-4149
Mailing Address - Street 1:PO BOX 238
Mailing Address - Street 2:
Mailing Address - City:ELFRIDA
Mailing Address - State:AZ
Mailing Address - Zip Code:85610-0238
Mailing Address - Country:US
Mailing Address - Phone:866-986-2550
Mailing Address - Fax:
Practice Address - Street 1:2491 W JEFFERSON RD
Practice Address - Street 2:
Practice Address - City:ELFRIDA
Practice Address - State:AZ
Practice Address - Zip Code:85610
Practice Address - Country:US
Practice Address - Phone:866-986-2550
Practice Address - Fax:855-275-5428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-29
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility